Christale F White, BSN RN

Individual provider Active NPI Registered Nurse · Clarkton, NC

NPI 1619628112 · NPPES record last updated Jan 21, 2022

Key facts

NPI
1619628112
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
256227 (NC)
Practice address
382 Archie Jacobs LN
Clarkton, NC 28433-9537
Phone
(910) 549-8265
NPI assigned
Jan 16, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
256227NCMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Nursing Care Agency 251J00000X
Registered Nurse 163W00000X 256227 NC Yes

Addresses

Primary practice location

382 Archie Jacobs LN
Clarkton, NC 28433-9537

Mailing address

382 Archie Jacobs LN
Clarkton, NC 28433-9537
Phone (910) 549-8265

Other identifiers

IdentifierTypeStateIssuer
256227OtherNCNC BOARD OF NURSING

Other names

  • Malkia'S Herbs For Life LLC Professional name

Electronic endpoints

TypeEndpointUseAffiliation
Other URL conciergeBSNRN2@gmail.com Health Information Exchange (HIE)

Other providers in Clarkton, NC

All providers in Clarkton, NC · Registered Nurse in North Carolina

Sources for this page

Verify at the official NPI Registry.